Provider Demographics
NPI:1336109982
Name:BINZER, THOMAS C (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:C
Last Name:BINZER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 200
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76086-0200
Mailing Address - Country:US
Mailing Address - Phone:817-598-8200
Mailing Address - Fax:817-598-8201
Practice Address - Street 1:907 EUREKA ST
Practice Address - Street 2:SUITE A
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-5880
Practice Address - Country:US
Practice Address - Phone:817-598-8200
Practice Address - Fax:817-598-8201
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-27
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ1070207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX096357101Medicaid
TX8AJ105OtherBCBS
TX200032933OtherR & R MEDICARE
TX200032933OtherR & R MEDICARE
TXG28467Medicare UPIN
TX200033837Medicare ID - Type UnspecifiedR & R MC TARRANT COUNTY
TX096357101Medicaid